Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study
Sedation can induce atelectasis which may cause suboptimal image quality. This study aimed to identify factors associated with the occurrence of atelectasis during sedation for imaging in pediatric patients. Patients < 18 years who had undergone whole-body magnetic resonance imaging (MRI) under s...
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MDPI AG
2021-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/16/3598 |
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| author | Pyeong Hwa Kim Yong-Seok Park Hee-Mang Yoon Ah Young Jung Eun-Young Joo In-Cheol Choi Myung-Hee Song |
| author_facet | Pyeong Hwa Kim Yong-Seok Park Hee-Mang Yoon Ah Young Jung Eun-Young Joo In-Cheol Choi Myung-Hee Song |
| author_sort | Pyeong Hwa Kim |
| collection | DOAJ |
| description | Sedation can induce atelectasis which may cause suboptimal image quality. This study aimed to identify factors associated with the occurrence of atelectasis during sedation for imaging in pediatric patients. Patients < 18 years who had undergone whole-body magnetic resonance imaging (MRI) under sedation with propofol or dexmedetomidine were included in this study. The development of atelectasis was visually and quantitatively assessed by coronal short tau inversion recovery images of the thoracic level. Multivariable logistic regression was performed to identify the independent factors associated with the development of atelectasis. Ninety-one patients were included in the analysis. In the multivariable analysis, administration of supplemental oxygen was the only factor significantly associated with the occurrence of atelectasis (adjusted odds ratio, 4.84; 95% confidence interval, 1.48–15.83; <i>p</i> = 0.009). Univariable analysis showed that the use of dexmedetomidine was associated with a lower incidence of atelectasis; however, this could not be verified in the multivariable analysis. Among the pediatric patients who had undergone imaging under sedation, additional oxygen supplementation was the only independent factor associated with atelectasis occurrence. A prospective clinical trial is required to identify the cause-effect relationship between oxygen administration and occurrence of atelectasis during sedation. |
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| id | doaj.art-ab3eba8b3680400fba6f2902c4dab02d |
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| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:43:11Z |
| publishDate | 2021-08-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-ab3eba8b3680400fba6f2902c4dab02d2023-11-22T08:10:41ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011016359810.3390/jcm10163598Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort StudyPyeong Hwa Kim0Yong-Seok Park1Hee-Mang Yoon2Ah Young Jung3Eun-Young Joo4In-Cheol Choi5Myung-Hee Song6Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaSedation can induce atelectasis which may cause suboptimal image quality. This study aimed to identify factors associated with the occurrence of atelectasis during sedation for imaging in pediatric patients. Patients < 18 years who had undergone whole-body magnetic resonance imaging (MRI) under sedation with propofol or dexmedetomidine were included in this study. The development of atelectasis was visually and quantitatively assessed by coronal short tau inversion recovery images of the thoracic level. Multivariable logistic regression was performed to identify the independent factors associated with the development of atelectasis. Ninety-one patients were included in the analysis. In the multivariable analysis, administration of supplemental oxygen was the only factor significantly associated with the occurrence of atelectasis (adjusted odds ratio, 4.84; 95% confidence interval, 1.48–15.83; <i>p</i> = 0.009). Univariable analysis showed that the use of dexmedetomidine was associated with a lower incidence of atelectasis; however, this could not be verified in the multivariable analysis. Among the pediatric patients who had undergone imaging under sedation, additional oxygen supplementation was the only independent factor associated with atelectasis occurrence. A prospective clinical trial is required to identify the cause-effect relationship between oxygen administration and occurrence of atelectasis during sedation.https://www.mdpi.com/2077-0383/10/16/3598magnetic resonance imagingatelectasispediatric sedationdexmedetomidinepropofol |
| spellingShingle | Pyeong Hwa Kim Yong-Seok Park Hee-Mang Yoon Ah Young Jung Eun-Young Joo In-Cheol Choi Myung-Hee Song Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study Journal of Clinical Medicine magnetic resonance imaging atelectasis pediatric sedation dexmedetomidine propofol |
| title | Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study |
| title_full | Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study |
| title_fullStr | Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study |
| title_full_unstemmed | Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study |
| title_short | Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study |
| title_sort | factors associated with occurrence of atelectasis during sedation for imaging in pediatric patients a retrospective single center cohort study |
| topic | magnetic resonance imaging atelectasis pediatric sedation dexmedetomidine propofol |
| url | https://www.mdpi.com/2077-0383/10/16/3598 |
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